Early on in this thread, we pointed to the ethnic link to varying amounts of ACE2 receptors relative to COVID-19 susceptibility. Recently, another ACE2 factor has come to light.
COVID-19 Glycosylation / Chloroquine
www.ncbi.nlm.nih.gov
'Hyperglycemia, Hydroxychloroquine, and the COVID-19 Pandemic....It allows consideration of agents, such as hydroxychloroquine, which may interfere with this brisk macrophage inflammatory response....
Comment on Hyperglycemia, Hydroxychloroquine, and the COVID-19 Pandemic the hyperglycemia at the admission in the hospital
'Hyperglycemia and the Worse Prognosis of COVID-19. Why a Fast Blood Glucose Control Should Be Mandatory....in particular those that blunt but do not completely abrogate the M1 to M2 balance in macrophage polarization, as well as viral load, which in SARS appears to be temporally related to the onset of ARDS....particularly the hyperglycemia at the admission in the hospital is a very bad prognostic factor. 1. an acute increase of glycemia is accompanied by a huge increase in inflammatory mediators. 2. another reason seems to be very specific for COVID-19 and it is related to the binding of SARS-CoV-2 to ACE2. The glycosylation, a reaction that can be induced by hyperglycemia, of the ACE2, is needed for the linkage of the virus to this cellular receptor. It is the amount of glycosylated ACE2 receptor, and not simply the amount of ACE2 alone that is responsible for the virus binding and fusion.'
COVID-19 Glycosylation / Chloroquine

Hyperglycemia, hydroxychloroquine, and the COVID-19 pandemic - PubMed
Coronavirus disease-2019 (COVID-19) infection and its severity can be explained by the concentration of glycosylated severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) viral particles in the lung epithelium, the concentration of glycosylated angiotensin-converting enzyme receptor 2...

Comment on Hyperglycemia, Hydroxychloroquine, and the COVID-19 Pandemic the hyperglycemia at the admission in the hospital
'Hyperglycemia and the Worse Prognosis of COVID-19. Why a Fast Blood Glucose Control Should Be Mandatory....in particular those that blunt but do not completely abrogate the M1 to M2 balance in macrophage polarization, as well as viral load, which in SARS appears to be temporally related to the onset of ARDS....particularly the hyperglycemia at the admission in the hospital is a very bad prognostic factor. 1. an acute increase of glycemia is accompanied by a huge increase in inflammatory mediators. 2. another reason seems to be very specific for COVID-19 and it is related to the binding of SARS-CoV-2 to ACE2. The glycosylation, a reaction that can be induced by hyperglycemia, of the ACE2, is needed for the linkage of the virus to this cellular receptor. It is the amount of glycosylated ACE2 receptor, and not simply the amount of ACE2 alone that is responsible for the virus binding and fusion.'